Be Relevant, Live!

"Hello Irrelevant. My name is Andy."

The photo above was taken today near a prominent university in Washington, D.C. 

When our youngsters in the Capital of the United States--the holders of future creativity and energy are feeling irrelevant--we as a country are in serious trouble. 

Yet, don't we all feel irrelevant at times?

We see and hear so much that is somehow wrong in the world and feel powerless to stop it, change it, or do anything about it that really makes a difference. 

Everyday we are witness to people's personal misdeeds that should never be done, let alone contempalted; large, medium, and even smaller organizations doing the wrong thing for profit or power; and governments making decisions for political reasons and not common sense reasons or for the good of the people. 

And how do we feel in all this -- relevant or irrelevant? 

Can we as people endowed with G-d's lifeforce and heavenly spirit, formulate a position that touches people's hearts and minds to do the right thing for the right reasons--and can we speak it articulately enough, loud enough, convincingly enough to make a genuine difference?

Just as a single example in today's Wall Street Journal, an editorial about Yucca Mountain, the place designated for nuclear waste disposal--that is supposed to meet safety requirements for the next "million years" (I think most of us would be happy if we achieve even half that estimate)--and has already cost us 30 years of study and $15 billion, but yet continues to remain stuck in a politcial quagmire--why?

I beleive we can all think of numerous health, safey, and wellbeing issues affecting us, our families, communities, and this country that are are in a similar state of paralysis and dysfunction. 

Why can't we move forward--is there no one relevant out there anymore?

We can't afford to let ourselves sink into feelings of despair, inadequancy, or irrelevancy to the great tasks at hand--whether from things like Ebola, ISIS, or financial meltdown. 

We must find our inner voices, our moral rectitude, and our courage to speak truth to power, to stand firm for right against wrong.

It's understable to feel irrelevant, but it's not sustainable to show it. ;-) 

(Source Photo: Andy Blumenthal)

Be Relevant, Live!

Don't Worry About It--Yeah Right!

Lately, with the Ebola outbreak, primarily in Africa, but unfortunately also spreading here into the U.S., we are hearing refrains from politicians and pundits, not to be afraid.

- It won’t come here.
- It’s hardly contagious.
- Out health care system is superior.
- It’s all under control.

But what we are finding is that the reassurances are mostly empty words to calm a growing restless public, who are justifiably afraid, and see little to no action from their leaders.

- Ebola has come here to Texas, Maryland, and New York.
- Experts now admit that you can even get Ebola from sweat on the bus, and they blame broken protocols (as yet to be identified) that inflected 2 nurses in Texas.
- Yes, our health system is superior, but we are mostly inexperienced with dealing with a true pandemic.
- Define, “It’s under control” as the CDC is now projecting 1.4M infected by January (and growing exponentially)!

This is like the old adage that we are always trying to fight the last war, and not preparing with an open mind for what the next one will look like.

Similarly, we fail again and again to predict the threats and risks that confront us...Pearl Harbor, 9/11, Depressions/ Severe Recessions, ISIS, and much more are evidence of this.

FDR said “There is nothing to fear but fear itself,” but this is dead wrong.

I am afraid that we are not fearing enough (or that even worse, we are afraid to fear)--when this is perhaps of as great, if not of greater importance to adequately preparing ourselves to the immense challenges ahead of us.

Fear can cause paralysis or even chaos, but fear can also drive intelligent preparation, innovation, and life-saving measures.

Lately, many have said to me that unhealthy eating or gun violence is what we should fear and act on, and I think this is truly narrow vision.

We can’t live with heads in the sand, because there are multiple issues that we must confront.

True, we don’t have unlimited resources to address everything 100%, but as I’ve been telling people, we can worry about multiple issues (and I certainly do), work to address them with common sense—in other words, walk and chew gum at the same time!

Everyone seems to have their pet peeve issue that they want politicians to address, but we don’t have the luxury of paying attention to those that big mouths, lobbyists or politicians elevate to fear factor status, and ignoring others that may pose real significant threats to us. 

Frankly, I would rather be a little needlessly afraid, but more thoughtful, prepared/protected, and ahead-of-the-curve in addressing issues, than fearless, foolhardy, not ready, and extremely sorry later. 

While Ebola may or may not be catastrophic to us, when you hear coldly, almost matter-of-factly, “Don’t worry about it,” while thousands are dying and many more horrific deaths are at hand, and we are told by the U.N. that there is no real plan if things continue to go south, then be afraid, be very afraid--and let that guide you to creative problem-solving, and not deer in the headlights inaction. 

(Source Photo: Andy Blumenthal)

Don't Worry About It--Yeah Right!

Welcome Ebola To America!

While our self-declared intelligentsia has decided to keep the commercial flights open to Liberia, Guinea, and Sierra Leone, experts are predicting that new ebola cases will reach 10,000 per week by December!

Moreover, the United Nations has warned that if Ebola is not controlled within the next 60 days, "the world faces an 'unprecedented situation' for which there is no plan."

But by the time, we get our political will and act together, who knows...

What isn't helping are publications like Bloomberg Businessweek, with another classic asinine article this time by Charles Kenny who writes--get this--that "A Travel Ban Is a Terrible Idea."

While Kenny acknowledges "Travel restrictions have a long history as a tool against spreading infection" dating back already to the Middle Ages, Kenny is concerned about the "trade-offs" of quarantining the source countries--"because the benefits of contact outweigh the risks"--i.e. "People want to travel to see family and friends, visits places, work, or invest."

Well Mr. Kenny, how about that people want to live and not die because of the irresponsible spread of this deadly virus? Two-thirds of the public, as well as many in Congress, and the media have already called for a common sense temporary travel ban. 

Kenny then goes on to exaggerate and talk about how laughable it is that we would "completely seal off the U.S. from the rest of the world" even though what we are talking about are just the countries where this deadly infection is currently raging. 

Further, Kenny is concerned not about containing the disease and protecting the more than 300,000,000 people in this country, but about the possibility that a ban on commercial flights "will deter people from volunteering to work in the region"--here again, Kenny ignores that specialized, trained people from the military, World Health Organization, Doctors Without Borders, and more are already being deployed--although too little too late. 

Incredibly, Kenny even compares Ebola to the common flu, and intimates that since we don't quarantine for the seasonal flu, why should we do it for Ebola--uh, Mr. Kenny have you heard that Ebola has a 70% mortality rate!

Finally, Kenny says in his defeatist way, "We live in a global disease pool. In the end, once a disease begins to spread, there's no escaping an infection."

Hello Mr. Kenny, we have a responsibility to prevent and protect our people--there is no place for your throwing in the towel on all of us--what a shame that Bloomberg makes this dangerous rhetoric the Opening Remarks for their magazine. 

There is long established protocol of quarantine to stop the spread of infection--not that it would necessarily be 100% successful, but at least it would help contain and control the spread from getting worse, and we would learn to improve as we go along, and live to fight and save more lives now and in the future.

(Source Photo: Andy Blumenthal)

Welcome Ebola To America!

This Is Our World

This is some of the unbelievable crazy news just from today--check this out:

- Russia accuses U.S. that the rallies of masses of people seeking freedom and human rights in Hong Kong and Ukraine are really CIA plots.

- Ebola enters the U.S. ten days ago by a man who arrived from known, striken Liberia.

- "The Earth lost half of its wildlife in the past four decades."

- Oklahoma man, who recently tried to convert colleagues, beheads one of them at work. 

- Man who is armed felon (with "three felony convictions for assault and battery") gets within feet of and potentially endangers President on elevator within days of another man with a knife, who climbs fence, enters White House and skips about and into the East Room.

- Report that if just a "100-meter wide asteroid hit Washington, D.C....'it could wipe out everything within the Beltway.'"

So in case you didn't have enough to worry about ..this is our world and what we are doing to it. ;-)

(Source Photo: Andy Blumenthal)

This Is Our World

Ebola Has Arrived

The Washington Post ran an article on August 1, "Why You Are Not Going To Get Ebola In The U.S."

As of about 10 minutes ago, they are now reporting, "As Ebola Confirmed In U.S. , CDC vows, 'We're Stopping It In Its Tracks.'"

What do you think we'll see in the news about Ebola within the next 6 months or year--completely eradicated, mostly contained, spreading slowly, or G-d forbid a global pandemic? 

G-d should help us to conquer this disease quickly and completely. 

(Source Photo: here with Attribution to European Commission Humanitarian Aid and Civil Protection)

Ebola Has Arrived

Decide To Win

This was an interesting sign + sticker in Washington, D.C.

It asks to Stop Fighting Congress or perhaps stop the fighting in Congress.

The point is to come together and collaborate for a better decision, rather than have bad decisions made by just one side or have indecision altogether.

The New York Times had an Op-Ed over the weekend called The Great Unraveling about how we are living amidst hatred, fighting, disintegration, disease, and disorientation. 

And we are watching it as if dazed and confused--paralyzed as a nation taking maybe a baby step here or there, but with seemingly no solid committment to do anything to really change, improve, better, or win. 

Scared by lost lives and treasure since 9/11...we cannot bear to lose or waiver in our resolve because of weariness or despair.

Their is a lot to get done...for ourselves and future generations.

We've got to stop fighting our demons and each other and instead face up, man up, to the myriad of global problems that confront us. ;-)

(Source Photo: Andy Blumenthal)

Decide To Win

Ebola On The Move

Watching this video of an ebola patient escaping quarantine and the panic in Liberia, it is hard not to be concerned about it coming here. 

Additionally, with a third American infected with Ebola overseas coming back home for treatment, and the CDC retesting a Miami patient negative for Ebola after having shown some symptoms, the stakes seem to be going up with this deadly disease. 

Just last Friday, GovExec reported that Ebola has a 18% chance of reaching the U.S. in September.

Moreover, if the outbreak is not contained the risk of it coming here is said to "increase consistently."

My daughter asked me the other day why commercial flights to/from the infected countries (not including aid delvieries) have not been cut off for now to help prevent the spread of the disease and save lives.

Unfortunately, I did not have a good answer to this, except that certainly there are economic and social implications to those countries in the short-term, but what are the potential costs to countless other global citizens if we do not do everything we can to adequately contain this outbreak?  

(Source Photo: Andy Blumenthal)

Ebola On The Move

Panic, Technology To Rescue

Who us panic?

- ISIS is threatening the West with "dangerous new extremism"
- Syria's death toll tops 170,000 with more than 10,000 believed tortured to death. 
- Boko Haram is still abducting young girls (and boys).
- Iran says no deal on nukes. 
- Ebola is "out of control."
- China is emergent as the U.S. pivots east and space becomes militarized with anti-satellite weapons. 
- Russia is resurgent (Crimea is history to Ukraine).
- The national deficit only hints at the true extent of our unfunded liabilities from entitelements.
- The economy is bubbling over the top again, warns Robert Shiller.
- Racial and income inequality continues to divide America (case in point, Ferguson MO).
- Nearly 1 in 3 American adults has an arrest record.
- Almost half the world--3 billion people--live in poverty on less then $2.50 a day. 

Ah, if only technology could solve all our global problems--and this is a big list and not by any means comprehensive.

It's a race of the "world is exploding all over" with technology trying to make it better with more and better information, innovation, productivity, security, and cures.

Almost like the war of good over evil--we may lose the battle, but hopefully (let's pray) in the end, we will win the war. ;-)

(Source Photo: Andy Blumenthal)

Panic, Technology To Rescue

The Ebola Bomb {^}

Ebola is the "one of the most virulent microbes" to mankind--there is no known cure and it has a 90% mortality rate. 

The death toll from the current outbreak of ebola in West Africa has now hit 1,145.

And according to the U.N. Health Agency, the number of deaths are "vastly underestimated."

Already, as of two weeks ago, more than 100 health workers had been infected. So who is going to care for the infected and sick, when the medical professionals themselves are sick and dead? 

According to the World Health Organization, Ebola is spread by "direct contact (through broken skin or mucous membranes) with the blood, secretions, organs, or other bodily fluids of infected people, and indirect contact with environments infected with such fluids."

However, as frightening and deadly as ebola is as a disease that spreads and must be contained, what is even more terrifying is that there are those who believe that terrorists may try to harness it into a dirty bomb.

CBS reports that a disease expert from Cambridge University says that "A bigger and more serious risk is that a [terrorist] group manages to harness the virus as a power, then explode it in a bomb in a highly populated area."

A biological bomb like this "could cause a large number of horrific deaths," and would further spread the disease--and until it stops, no one knows. 

Visiting any number of local doctors offices, emergency rooms, or hospitals that are already filled with patients and with lengthy wait times to be treated, I cannot imagine what an Ebola (type) outbreak would look like.

I hope and pray we never find out the suffering, death, and havoc something a virus like this would cause--whether transmitted through human-to-human contact or by one of the dirtiest, sickest bombs you could imagine. 

(Source Screenshot: here with attribution to Unicef)

The Ebola Bomb {^}

Electrical Cataclysm

Warning from the former director of CIA in the Wall Street Journal...

We are grossly unprepared for an EMP attack on this country!

Dire reports from the EMP Commission from 2004 and 2008 have been "much neglected"!

The threat comes from nation states and terrorist organizations who can detonate a nuclear device above our skies by ICBM, SCUD missile (for example from a freighter near our shores), a space-launched vehicle that lifts satelittes into orbit, and even from low-yield nuclear weapons closer to home. 

Russia and China "have considered limited nuclear-attack options that...employ EMP as the primary or sole means of attack."

North Korea in 2012 orbited a satellite compatible with such a small nuclear warhead "for the delviery of a surprise nuclear EMP attack against the U.S."

Here's the clincher on the damage this could do to us:

"Within 12 months of a nationwide blackout, up to 90% of the U.S. population could possibly perish from starvation, disease, and social breakdown."

But for roughly $2 billion dollars we could protect the national electrical grid with surge arrestors, faraday cages and more. 

However, the bills to authorize this and protect us are stalled.

This is a known threat that our enemies are preparing for and what are we doing sitting on our hands, again? 

Or as the comedian Lewis Black says, "If we're going nowhere as a country, why can't we get there faster?"  ;-)

(Source Photo: here with attribution to Wil C. Fry)

Electrical Cataclysm

Disability Rights - To Life Or Death

I read today in the Wall Street Journal an editorial by Joni Eareckson Tada--which I couldn't have disagreed with more. 

Let me start by saying that I have the greatest respect for Ms. Tada who is herself a quadriplegic and has overcome unbelievable challenges to become a huge successful author, radio show host, and advocate for disabled people. 

Yet in the editorial, she rails against those with disabilities that choose death over life and the laws that would enable this. 

She says, "first it was assisted suicide," and now it's unlawful birth suits after a child was born with severe disabilities that could have been genetically screened for, and an upcoming Belgium law that may "legalize euthanasia for children with incurable diseases--who, with the support of their parents or guardians, ask to die."

Ms. Tada calls these out as some sort of incredible "double standards" vis a vis the "freedom and dignity that the ADA [Americans With Disabilities Act] championed"--she says that "instead of helping the disabled live full lives, new laws seek to help them die."

While I appreciate her sentiments, I cannot agree with them--not everyone is Ms. Tada who decided she wanted to live and was able and fortunate to do what she has done.

This is a free country and people deserve the right to decide for themselves, making an informed and a well-thought out decision and with their loved ones, if they are too young, old, or otherwise unable to make the decision anymore for themselves. 

Having seen the ravages of disability, especially with my own mother, who suffers from Parkinson's Disease and other ailments, I cannot believe that anyone would try to force life on someone who has endless pain and suffering and wishes only for their final peace. 

Ms Tada asks, "What type of society do we want?"  She goes on claiming that "if we are seeking a good society then we do well to defend the rights of the helpless-not nullify their rights," yet this is exactly what Tada is advocating by seeking to nullify their right to end their suffering. 

If it amazing that people will "put down" a sick dying animal to relieve it of it's suffering when it is beyond cure, but we don't show the same mercy to fellow human beings when they are in the clutches of death and torment.

There is most certainly a time when it is enough pain, enough disability, when there is no more hope, and the most decent human thing we can do is free the person from their intolerable suffering.

Life is a wonderful thing if it can be lived, but if it is a living hell, then we should be merciful and let people go to their final resting place without the anguish that only they can ever really understand.

(Source Photo: here with attribution to GizM ()17)

Disability Rights - To Life Or Death

Have You Ever Seen A Shark With Cancer?

For a long time people have learned from the animal kingdom. 

We learn how to fly from birds, how to swim from fish, how to fight from lions and tigers, and so on. 

But an interesting article in the Wall Street Journal gave this new and expanded meaning to me. 

Researchers are now looking at animals to learn how to ward off some of the worst diseases known to man. 

For example, apparently Sharks do not get cancer, but more than that even when scientists spent 10 years trying to induce cancer in sharks, they couldn't!

Shark have compounds that actually kill tumors--WOW!--If we could learn how to mimic that in humans, imagine the death and suffering that could be prevented, and the extension and perhaps quality of life that could be gained.

Similarly, grizzly bears, which can weigh 1,000 pounds, and can eat 58,000 calories a day, put on 100 pounds or more in the weeks right before they hibernate for the winter, yet bears don't suffer from routine ailments of obesity, such as diabetes, heart attacks, and strokes. 

Not that any of us want to be 1,000 pounds, but imagine if heavy people did not get all sorts of diseases from clogged arteries and the like.

While heart disease and cancer each accounts for 1 out of every 4 deaths in the U.S. and are the top two leading causes of death--how amazing would it be if we could not only "talk to the animals, walk with the animals..." but also fight disease like the animals? ;-)

(Source Photo: Andy Blumenthal)

Have You Ever Seen A Shark With Cancer?

Adaptability And Integrity In The Face Of Catastrophe

The Walking Dead is the #1 TV show--and this past Sunday was just amazing not only in terms of the plot, but the lessons it provided.

The big question raised was can people change?

The Governor went through a seeming metamorphosis after the destruction of his prior town and murder of his people (by his own hand) and now he has a newfound family and tribe. 

When he comes to attack Rick and the prison to take it for the protection of his own people, Rick says let's just share it, it will be hard to overcome old rivalries, but we can do it--we can change!

But the Governor, yells in a blood curdling voice, "Liar!" and proceeds in a craze to chop off Hershel's head. 

What is particularly dramatics about this--aside from their opposing views of change--is that Hershel is the doctor who not only takes care of the physical health of his people, but also is the conscience of his group seeing that they don't lose their moral way. 

The Governor is a cold killer that truly can never change--and he not only executes Hershel, but screams "Kill them all!"

He also kills his newly adopted daughter after she is bitten by one of the walkers..he shoots her right in the face. 

At first, this seems like the Governor has changed, he can kill a Walker even if it's from his new family, as opposed to his own real daughter that he kept (unwilling to let her go) until Michonne kills her. 

But this was not real change for the Governor, because as he told Hershel about attacking and killing someone else's children to survive, "they aren't mine!"

The Governor is all about himself and will do anything selfishly to survive without consideration of others--this does not change. 

On the other hand, Rick and others survive by their ability to change and grow--they kill when they must, they have empathy when they can, they live by a code of right and wrong--in every situation, they adapt. 

For example, in a prior episode, Carol is forced to leave Rick's group because she brutally killed and burnt two of people in the prison when they got sick and were a threat of spreading the disease. However, Rick understood that this was wrong and banished her for what she did. Not all killing is justified, even if it helps you survive.

The Governor (and his new cohorts) are finally killed off in this episode, and although the safety of the prison is gone, and Rick and the others must leave and wander again, they continue to survive another day--changing with ever new challenges and adhering to an informal code of conduct that they maintain, even in the face of a world catastrophe.

(Source Photo: Dannielle Blumenthal)

Adaptability And Integrity In The Face Of Catastrophe

Nasty Flu Shot

I took my daughter for a flu shot last evening. 

We went through the typical drawn-out paperwork and long wait to get something so routine. 

When the medical practitioner finally arrived with the flu shot, there was a little baggy with all the acoutrements including alcohol wipe, band-aid, cotton, etc. 

As the lady starts taking out the items to get ready for giving the shot, she drops the cotton on the floor. 

She picks it up quickly, and pretending we didn't see, she quickly throws it back on the medical tray. 

Now I am watching...

She open the band-aid and places it at the ready on the side.

Then she get the syringe AND the cotton that had just fallen on the floor, ready in hand. 

As she is about to give the shot, I say, "You're not going to use the cotton on my daughter that just fell on the floor, are you?"

Her eyes look askance and she throws the cotton back down on the tray, and says, "Oh, of course not."

I spoke with my daughter afterwards about this as it was hard to understand how a medical practitioner could on one hand, be administering a helpful medicine to a patient, and at the same time, was about to use a dirty cotton on the wound afterwards.

What happened to people actually caring about people and taking pride in the jobs they do, rather than just being in it for the paycheck only?

(Source Photo: here with attribution to Sun Dazed)

Nasty Flu Shot

From The Window In the Nursing Home

I visit the nursing home pretty often to see my mom who is there. 

While I try to focus on my mom and her needs, I do notice other patients there. 

The images are deeply impactful on me...here are ten that are on my mind today:

1) The husband and wife who are both in the home in a shared room--the wife is wheelchair-bound and the husband dutifully pushes her around the floor. This weekend, I saw them together at the nurses' station asking for some crackers. When the nurse came back with some individually wrapped crackers in cellophane, the couple took them and went off down the hall happy as clams.

2) The lady at the table who is overweight, but always asks for more food. She doesn't talk much except to ask for more dessert. She stares at the other patients and seems annoyed and upset with them.

3) The guy who was a lawyer, but now has dementia, and sits and talks half to himself and half trying to engage others, but all that comes out is sort of gibberish. So others just nod or say something to politely acknowledge him, but can't converse with him with any meaning. 

4) The lady in the room who sits in a chair hunchback. She never seems to leave the room or the chair. Sometimes, she watches TV and other times appear to be crocheting. Mostly she sits hunchback, looking uncomfortable, but settled for the long hall like that. 

5) The woman who sits outside her door in the hallway. She is in a wheelchair, and she doesn't say anything, but she stares at you while you walk down the hallway. She sits there watching--sitting and watching. 

6) The younger but still old disheveled guy. He comes into the dining room to eat, but gets food all over himself. He sits alone, always. He eats quickly, leaves half his food, and gets up and goes out while everyone else is still picking away at their food. 

7) The lady with a wall of baseball caps. She has no hair, maybe she has cancer, I don't know. She usually is in bed, sitting up. The caps look like they have a lot of meaning to her, but I'm not sure if it's because she's a sports enthusiast or why.

8) A lady in a wheelchair that pulls herself along down the hall. She puts one foot in front of the other in these baby steps motions, and the chair moves along, slowly, but at least she is mobile, somewhat. 

9) This weekend, I looked out the window of the home, and there was a woman on the sidewalk. She had fallen on the ground, on her butt. Her walker was next to her, but she could not get up. Some people were near here, apparently trying to get help, but not wanting to touch or move her themselves. I ran for the floor nurse, and she came to the window to see. She said is that so and so, which meant nothing to me, and then she ran off to help her get up. 

10) A lady sits downstairs by the glass windows--she is dressed up fancy like older healthy people are want to do. Next to her is an older gentleman in a turtleneck, but he is just visiting and is her son. They seem to be sort of wealthy as they sit upright in the high-back chairs and discuss family and what she's been eating at the home. They look askance at some of the other patients who are crying out in pain. 

The nursing home, like the hospital is a horrible place to be, even when you have to be there.

In both places, even the most caring doctors and nurses and attendants, cannot make up for the fact that you are a prisoner of age, failing health, and disability--and let's face it, even if many are nice or attentive, not everyone is. 

I am still unclear why people must suffer so--why we haven't found a better way to end good, productive, and loving lives.  

I am not sure that people are really even focused on this issue of old age, because it's not sexy, it's at the end anyway, and "they had the chance to live their lives."

Maybe, it's because we simply don't have the answers yet, can't afford what they would take, or we would just rather not deal with mortality, pain, and suffering when there are so many other things to do. 

But one day, we all will face the piper--and it would be comforting if we had better answers.

(Source Photo: Andy Blumenthal)

From The Window In the Nursing Home

Cancer Takes It Away

This is an amazing video.

It is about the life of Angelo and Jennifer Merendino.

Initially, they a lived a fairy tale life, until she was diagnosed with breast cancer. 

You can see in the video the brutal transformation Jennifer underwent from the disease.

Yet, the love and togetherness this couple maintained is inspiring.

A link with photos of this couple's battle with cancer is here.

Jennifer died on December 22, 2011 at the young age of 40. 

Angelo, a NY photographer compiled their painstaking journey in a book called The Battle We Didn't Choose available at their website My Wife's Fight With Breast Cancer.

It is difficult to look at the pictures of Jennifer's illness and deterioration, especially when marked in contrast to her husband throughout.

The numerous personal pictures makes me feel a little uncomfortable, even as I believe, they are meant to be educational and giving--with 1/2 the proceeds from the book's profits to be going to a non-profit for breast cancer victims. 

The story is very tragic, yet too often repeated throughout society...some may be able to find hope in it, and to appreciate what we have, when we have it.

Cancer Takes It Away

Hold The Pickles, Hold The Lettuce--BABIES!

Remember, the catchy old Burger King commercial about "Have it your way"(where you can order the burger any way you want, no problem!)?

Now, we are reaching the point with DNA testing, where we can have it your way and order up babies the way you want them.

According to the Wall Street Journal, by getting genetic profiles of egg or sperm donors, you can search for a match with the genetic profile of the would-be parent to have a higher likelihood of desired traits (e.g. blue eyes) or lower likelihood of undesirable ones (e.g. heart disease). 

23andMe, a DNA company (Note: humans have 23 pairs of chromosomes) that sells home testing kits for $99, has patented a process for analyzing DNA and providing information on health and ancestry, and this could be used for system screening of egg or sperm donors through a tool called a "Family Traits Inheritance calculator."

Calculating better babies by choosing desired matches at fertility clinics is only steps away from actually making marriage decisions based on genetic make-up--in that scenario love is only one factor in choosing a mate and maybe not the primary any longer. 

The idea being to screen potential couples before marriage to yield "the best" potential children--smartest, athletic, good-looking, etc. 

There are already genetic banks for screening and capturing genetic information on potential couples to avoid genetic diseases such as Tay-Sachs and others. 

While bioengineering children for better health is one thing, creating a blue-eye and blond-haired race was the Nazi's concept of an Aryan nation as a superior race that would dominate the world. 

The ethical questions of how to screen out illness without creating a situation like in China under a one-child policy, where male offspring are considered superior and so we proverbially tilt the odds in favor of what we think is best even if it may not really be. 

Neither a homogeneous superior race, nor a customized bioengineered baby is the answer--rather, we need to value healthy diversity in children, where each is a miracle and a blessing in their own right. ;-)

Hold The Pickles, Hold The Lettuce--BABIES!

With Surgical Precision

This is awesome--the iKnife ("Intelligent" knife) for cutting away cancer, can also detect the cancerous cells. 

I had previously heard about dogs being able to sniff cancers such as lung, ovarian, and skin--but never a surgical knife doing this. 

With the iKnife, a surgeon can use a electrosurgical knife to cut/burn away cancerous tissue, but even better yet, this knife sucks away the smoke containing the vaporized tissue to a mass spectrometer that analyzes the particles and is said to be 100% accurate (so far) in detecting cancerous tissue (from those that are normal).

This is critical because it can be lifesaving in guiding surgeons not to miss any of the cancer (and therefore also helps avoid repeat surgeries) as well as not removing unnecessary tissue that is not cancerous. 

Dogs can help alert us to hidden cancers within and the iKnife can help remove them with greater precision and success. 

Hopefully, with G-d's help, one day we won't need either anymore. ;-)

With Surgical Precision

Living Longer, But With Worse Quality Of Life

Watching my parents age over the years has been hard--and very painful. 

They are good people--they've worked hard all their lives (nothing was just given to them), they are devoted to serving G-d, and they are loved by their family, friends, and community. 

They have lived a good life and we are grateful for every day.

Yet as they are getting older, the body like anything physical, starts to get sick and break down. 

Both my parents have serious illnesses, and in the last two years my mom has become almost totally disabled and is moving from a rehab center to a nursing home this coming week. 

I read this week in the Wall Street Journal, what I've been watching with my own eyes...we are living "longer, but not healthier lives."

Over the last 2 decades, life expectancy has risen 3 years to 78 years, but unfortunately only 68 of those, on average, are in good health--meaning that people suffer for about ten years with various disabilities.

What is amazing is that people are being pressed to retire later in life with an increase in age to receive full social security benefits to 67 by 2022--giving the average person a healthy retirement to enjoy of just 1 year!

With the average working household having less the $3,000 in retirement savings, things are not looking too good for Americans to retire young and enjoy their healthy years either. 

Additionally, despite longer living, in the last 2 decades, the U.S. fell from 20th place to 27th place in 34 member nations of the Organization for Economic Co-operation and Development (OECD) for life expectancy and quality of life.

The leading causes of death remain heart disease, cancer, and stroke.  And disabilities are being driven by back, muscle, nerve, and joint disorders. 

Seeing with my own parents, the deteriorating quality of life and true suffering as they age, I am left questioning the real wisdom of keeping people alive, when the quality of life has so deteriorated as to leave them in pain and misery. 

While no one wants to lose their loved ones--the emptiness is devastating--at the same time, watching them endlessly and needlessly suffer is worse. 

I see my mom clutching her wheelchair, always in various states of discomfort and pain, and less and less able to help herself, in almost any way--it is tragic. 

So I ask myself is it also unnecessary and wrong? 

I call it forcing people alive. We keep people going not only with extraordinary measures, but also with day-to-day medicines and care that keeps their hearts pumping, their lungs breathing, and their brains somewhat aware. 

The patients are alive, but are in a sense dying a long and painful death, rather than a quick and painless one. 

I love my parents and mom who is suffering so much now, and I don't want to lose her, by does really caring for her mean, at some point, letting her go.

I tell my dad, "I just want mom to have peace"--no more suffering!

For the average person, 68 years of health is too short, but 10 years of disability and suffering may be too long. 

We use advances in technology and medical breakthroughs to keep people alive. But what is the cost in pain and disability, and even in cold hard dollar terms for a nation being gobbled up by deficits, longevity, and miserable disease and disability? 

People are living longer but at a significant painful price! 

Is this real compassion and empathy or a senseless fight with the Angel of Death? 

(Source Photo: here with attribution to wwwupertal)

Living Longer, But With Worse Quality Of Life

The Five Phases Of Medicine

In many respects, medicine has come a really long way, and yet in other ways it seems like it still has so far to go. 

For example, while antibiotics are used to routinely treat many bacterial infections, there are few antiviral treatments currently available--and we are left with the proverbial, "take two aspirin and call me in the morning."

Similarly, heart attacks, strokes, cancers and so many other ailments still take their victims and leave the bereaving family asking why?

In thinking about medicine, there are five major historical phases:

1. Do nothing: Get hurt or ill, and you're as good as dead. You shudder at the words "There is nothing we can do for you." Average lifespan for folks, 30s.  If you're lucky (or wealthy), you may make it into your 40s or even reach 50. 

2. Cut it: Diseased or damaged limb or body part, chop it off or cut it out surgically.  I still remember when the people in my grandparents generation called doctors, butchers. 

3. Replace it: When something is kaput, you replace it--using regenerative medicine, such as stem cell therapy (e.g. for bone marrow transplants or even for growing new tissue for teeth) and bioprinters (like a 3-D printer) to make new ones. 

4. Heal it: Envision a future with self-healing microbes (based on nanotechnology) in the blood and tissues that detect when a body part is dangerously ill and deploys repair drones to fix them.  There is no need to cut it off or replace it, you just fix it. And perhaps with DNA "profiling"(don't like that word), we'll be able to tell what a person is predisposed to and provide proactive treatments. 

5. Eliminate it: Ok, this is way out there, but could there come a time, when with technology (and of course, G-d's guiding hand) that we can eradicate most disease. Yes, hard to imagine, and with diseases that adapt and morph into other strains, it would be hard to do--but that doesn't mean it's impossible. 

I still am shocked in the 21st century with all the medical advances and technology that we have that the doctors still say for everything from routine colds, to viruses, sores, growths, and more--"Oh, there's nothing we can do for that." 

Yet, there is what to look forward to for future generations in terms of better medicine and perhaps with longer and better quality of life.

My grandfather used to say, "No one gets old without suffering"--let's hope and pray for less and less suffering with future medical technology advances. ;-)

(Source Graphic: Andy Blumenthal)

The Five Phases Of Medicine